Provider Demographics
NPI:1003979089
Name:OEHRLEIN, DENISE J (LMFT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:J
Last Name:OEHRLEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:J
Other - Last Name:FARAGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 W DIVISION ST STE 119
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4548
Mailing Address - Country:US
Mailing Address - Phone:320-774-1621
Mailing Address - Fax:320-774-1624
Practice Address - Street 1:3333 W DIVISION ST STE 119
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4548
Practice Address - Country:US
Practice Address - Phone:320-774-1621
Practice Address - Fax:320-774-1624
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1161106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN829627800Medicaid